| NPI | 1013108661 |
|---|---|
| Former Name | ALEXIS ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 061577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 42922) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-06-06 |